CARL THEODORE OPDERBECK MD NPI 1316194954

NPI Information

Carl Theodore Opderbeck, MD is an obstetrics gynecology in Fort Defiance, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Carl Theodore Opderbeck, MD NPI is 1316194954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ROUTE 7 AND ROUTE 12
FORT DEFIANCE INDIAN HOSPITAL
FORT DEFIANCE, AZ
ZIP 86504-649
Phone: (928) 729-8020
Fax: (828) 729-8794

The enumeration date for this NPI number is 8/26/2008 and was last updated on 8/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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